FORM 1023-EZ for HOOPS LIFE CARES INC

Field Data
EIN 47-2652874
Case Number EO-2015217-000287
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOOPS LIFE CARES INC
Organization’s Mailing Address 15839 OLD US HIGHWAY 441
City TAVARES
State FL
ZIP 32778
Accounting period End 12
Primary contact name KATRINA H DEMPSEY ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICK BURKE
PRESIDENT AND TREASURER
1765 OVERLOOK DRIVE
MOUNT DORA FL 32757

Officer/Director/Trustee Two

PEYTON BURKE
VICE PRESIDENT AND SECRETARY
1765 OVERLOOK DRIVE
MOUNT DORA FL 32757

Officer/Director/Trustee Three

KATRINA DEMPSEY
DIRECTOR
31916 PARKDALE DRIVE
LEESBURG FL 34748

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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